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Organization

GGII INDIANA, LLC

Active
Other names
Needler's Fresh Market Pharmacy #932
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNA BERGUM PHARMD (DIRECTOR OF PHARMACY OPERATIONS)
(317) 450-5335
Entity
Organization

Contact information

Practice address
2250 TEAL RD, LAFAYETTE, IN 47905-2218
(765) 637-7455
(765) 607-1561
Mailing address
2250 TEAL RD, LAFAYETTE, IN 47905-2218
(765) 637-7455
(765) 607-1561

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/06/2018
Last updated
08/16/2019
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